Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.48 / $319.97 / $725.68	Facility		$227.48	$319.97	$725.68
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $151.57 / $171.38 / $270.08	Facility	54	$151.57	$171.38	$270.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $260.88 / $506.02	Professional		$201.06	$260.88	$506.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.11 / $247.79 / $269.97	Facility		$226.11	$247.79	$269.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $239.98 / $239.98	Professional		$138.60	$239.98	$239.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.57 / $362.57 / $362.57	Facility		$362.57	$362.57	$362.57
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.80 / $253.80 / $253.80	Facility	54	$253.80	$253.80	$253.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.57 / $299.97 / $640.29	Professional		$214.57	$299.97	$640.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $584.12 / $1,013.24	Facility		$195.83	$584.12	$1,013.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.43 / $482.41 / $493.86	Professional		$335.43	$482.41	$493.86
United Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $305.94 / $371.61	Professional		$178.47	$305.94	$371.61